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What We Do

Today's challenging healthcare environment demands new, more effective solutions to stem rising costs. Self Insured Plans works to keep healthcare plan expenses in line and quality care at the forefront. Whether your organization is large or small, we can help create a highly effective self-funded strategy that will control costs, keep you better informed and support happier, healthier employees.

Reference Based Pricing

Reference based healthcare plans, or scheduled benefit plans, offer group health plans the ability to place limits on what will be paid by the health plan. This highly effective medical management strategy is designed to reduce healthcare spending by the employer while also engaging the healthcare consumer. With reference based pricing, your plan pays a fixed amount for certain procedures and contracts with quality-oriented, outcomes driven providers who agree to accept the fixed amounts as full payments. Plan enrollees are strongly encouraged to use those providers who have agreed to accept the fixed amounts. Non-contracted providers may be utilized, however, plan members are required to pay any cost differences out-of-pocket.

Reference Based Pricing Encourages:

Providers to learn more about the prevailing costs of healthcare services.

Consumers to review pricing information in advance.

Both plan members and providers to take initiative in learning the true costs of healthcare services and avoid the substantial variations in pricing that can exist.

These improvements are sure to open the door to savings and to simpler, more transparent healthcare pricing.

Are You Ready to Discover the Benefits?

Our Promise

Self Insured Plans, LLC, is a family owned organization with more than 40 years of employee benefits experience. Our ability to make timely decisions for flexible plan design makes SIP unique in a world of look-alikes. SIP is also active in the Self Insurance Insitute of America, the National Association of Health Underwriters, the Southwest Florida Health Underwriter Association, the National Association of Employee Benefits Administrators and Health Care Administrators Association.